Thirteen is an America drama produced in 2003, whose plot covers the life of Tracy, a high school girl who indulges in drug abuse after being befriended by a stubborn boyfriend. As a teenager and being exposed to peer pressure, Tracy finds herself easily moved by her boyfriend Evie to start abusing drugs which end up worsening her situation. The condition worsens because the mother is not protective and ends up allowing her drug addict ex-boyfriend to take advantage of the situation and violate the teenager. The situation pushes her into a state of neglect and makes her develop a mental disorder that puts her life at risk. The symptoms of Tracy are as a result of a mental disorder informed by the signs which can be well understood through conducting a diagnosis using the ICD-10 codes, possible treatment methods and the medical assessments that would accurately diagnose the condition of the character

Tracy develops extreme stress resulting in a mental illness that risks her wellbeing. The main thing that exposes her to all thesetragedies is the kind of relationship that the teenager develops with the mother, a recovering alcoholic. Melanie is not protective of her child which makes her develop symptoms self-destructive behavior. Themental disorder that Tracy is suffering from can be understood through conducting a character based diagnosis based on the use of ICD-10 codes which provide a theoretical description based on the symptoms of mental disorder. The ICD-10 codes are a theoretical way in which the health condition of a patient can be evaluated, through the observable symptoms. The codes provide a method of classification of health conditions that are somewhat similar, but are differentiated by one or two symptoms

The first step when using the ICD-10 codes is the analysis of the observable symptoms of the character.  Tracy portrays strange symptoms such as the indulging in drug abuse, sex, as well as the self-destructive habits like cutting of herself. All these conditions justify that Tracy has a mental disorder which makes her portray unstable moods in the kind of relationship she has with her close family members. Thenature in which her moods change from one given situation to another demonstrates the unpredictable nature of her moods. The identification of the correct symptoms makes it easier to use the ICD-10 codes

Secondly, the diagnosis of the condition that Tracy is suffering from will need a clear analysis of the symptoms for easier identification of where the condition lies within the provided codes. This will involve the search for the alphabetic index for a diagnostic term which is informed by the causal agent of the symptoms that are being witnessed.  The location of the diagnostic term first starts with the learning of the symptoms of the patient. In this case, Tracy portrays patterns of emotional change, which is evident from the unstable relationships she has with his family members, for instance, she shifts from closeness to dislike and involves in behaviors such as cutting herself which are solely emotional. Therefore, the diagnostic term with regards to the latter conditions is located in code F60. Under these codes, several disorders are listed that relate to the conditions of Tracy

The third step involves checking for additional information that could provide more information that is vital in the identification of the condition. Clicking the tab listings for further information you directed to specific disorders, and as such clicking 3, you move to code F60.3 which states that the condition that Tracy is suffering from is a border personality disorder. This is strengthened by the clinical symptoms provided in the ICD-10 codes, individuals with the disorder portray volatile interpersonal relationships and have a lot of suicidal thoughts, some of the condition that the character is experiencing. Moreover, there are code instructions that strengthen the identification diagnosis of that specific condition, for example, before narrowing to the code F60.3, there are different instructions that are provided regarding the symptoms with makes it easier to do the diagnosis

The condition can be well identified in the first three steps. Therefore, the subsequent two steps are mainly for the identification of conditions that narrow down, depending on the nature of the conditions in the extra codes provided. For example in the fourth involves checking there any injuries that might have resulted due to one of the symptoms or trauma; thus it narrows down to whether it is the initial encounter with the injury. The fifth step comes in case the symptoms are because of trauma, and if this is the case then there are staging codes from 0 to 4 indicate the trauma staging codes. The extra information provided for such conditions is to ensure that

Treatment program

Border personality disorder is mainly caused by, the abuse of young children as demonstrated in the situation of Tracy, which leaves her vulnerable to people such as Evie who misuse and makes her experience neglect and stress leading to her developing of the disorder. Most of the people suffering from this condition are victims of rape and other social evils such as substance abuse. Considering the causes that result in the condition the best treatment for the condition should be psychotherapy. Tracy should be subjected to different psychotherapy such as mental based therapy to help get rid of the symptoms that she is experiencing. Moreover, the character has also started indulging in substance abuse which further worsens the situation, therefore, apart from conducting to alleviate the symptoms, Tracy should be taken through rehabilitation to help her stop drug abuse because if therapies are conducted without consideration of this facts then the character will land into the problems again

The psychotherapy will involve the therapist studying the condition and adopt an appropriate type of therapy that meets the conditions at hand. The therapy will enable the mental health provider to focus on the patients’ ability to manage emotions that might be risky to their health. This will aid in helping Tracy, learn to appreciate the relevance of her relationships with family members by being considerate of her feelings as well as those of other family members. Considering the condition of Tracy, the type of therapy that will function well is the metallization-based therapy (MBT), because n the characters thinking about their actions before participating in any absurd actions

Although there is no medication for the treatment of border personality disorder, some need arises to take medications to end some of the symptoms. For example, conditions such as depression can be eased by taking drugs. Such medications are only effective when used alongside therapy. Moreover, the condition might lead to the development of a condition that can be controlled through medication. Therefore, although the agreed-upon method of treating border personality disorder it should be combined with medication to facilitate faster healing of the patient. This is further exemplified by the situation of Tracy, who adopts self- destructive behaviors that might be detrimental to her health and can be healed if the patient is given medication

Recommendations

The condition of Tracy is mainly influenced by her irresponsible mother who is a drug addict, thus, to effectively help the situation the mother should be taken through healing especially by being taken to a rehabilitation. The change in her mother’s condition will make it easier for the girl to recover from her condition. This will happen because the girl is a minor and the closest family member is her mother, therefore, if the condition of the mother is not addressed, then it will be hard for the girl to recover from her condition

Therapists sometimes develop the need for more information before the diagnosis, and as such, the patient will be directed to another provider for further assessments. The referral is normally done if the symptoms suggest the possibility of another health condition affecting the character.  For example, in the case of Tracy, the mood change might occur because of her abuse of substances. Therefore, before making diagnosis and commencement of treatment the condition needs to be correctly ascertained so that the correct condition is addressed. Moreover, the condition might have resulted and consequently be the reason for the symptoms that the character is experiencing. This treatment of the condition that would be leading to the symptoms other than the border personality disorder such as the bipolar disorder which has nearly the same symptoms

Some assessments can be conducted to help accurately determine the condition of whether the health condition of Tracy is a border personality disorder. The recommendations will major on both direct and the indirect line of assessment. The indirect forms of assessment elements theoretically associated with Border personality as in the latter case. They include the use of instruments that psychological parameters associated with symptoms of the mental disorder. The character should be subjected to an interview with a mental health provider, through the sharing the personal details with her family members because being a minor she needs the needs close adult family members such as her mother to help go through the conditions by ensuring she adheres to the recommendations of a health provider. The detailed interview with facilitate the health provider learn her conditions and consequently devise appropriate methods that can help the patient overcome the symptoms and recover from the condition

It is usually necessary that the evaluation of the condition leads to feedback to the patient that can help in the connection between symptoms and the emotions. The psychoeducational facilitates the link between the diagnosis and the treatment that is to be done. The evaluation should involve sharing information with the patient patience to help develop awell-informed diagnosis. Sometimes mere observation of the patients’ behavior cannot guarantee correct results. Allowing the patients to communicate what they are feeling or experiencing is necessary for coming up with correct results regardinga health condition. Consequently, it will facilitate coming up with means to fully address the situation by the therapist

In conclusion, the diagnosis of Tracy’s condition can be well evaluated through proper assessment to have the correct results.  Such information will help the mental health provider design treatment that will help the patient recover from the condition. Carrying out a proper assessment ensures that the symptoms are not confused with those of another disorder. The use of the ICD-10 codes is a theoretical method for the diagnosis of a given health disorder. Health providers are normally in possession of the codes to help in the diagnosis of a given health condition based on the observable symptoms. The steps involved in the diagnosis of the health problems using the codes is to make it easier for the health providers to identify the problems. The known treatment for border personality is mainly through subjecting the patient to talk therapy. Sometimes medications are involved to ease certain symptoms

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